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Trends in sleeping difficulties among European adolescents : are these associated with physical inactivity and excessive screen time?

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blinded_manuscript_2018_11_21.pdf (1.906Mb)
Date
05/2019
Author
Ghekiere, Ariane
Van Cauwenberg, Jelle
Vandendriessche, Ann
Inchley, Jo
Gaspar de Matos, Margarida
Borraccino, Alberto
Gobina, Inese
Tynjälä, Jorma
Deforche, Benedicte
De Clercq, Bart
Keywords
24-h approach
Sleep
Sedentary behavior
Physical activity
Trend
RJ101 Child Health. Child health services
Public Health, Environmental and Occupational Health
3rd-NDAS
Metadata
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Abstract
Objectives We examined changes in sleep-onset difficulties over time and associations with physical activity and screen time behavior among adolescents. Methods We used data from last four survey waves of the Health Behavior in School-Aged Children (HBSC) study (2002–2006–2010–2014). Multilevel logistic regression analyses were conducted to explore associations between regular sleeping difficulties, excessive screen time exposure and being insufficiently physically active (i.e., < 60 min daily) among 33 European and non-European countries. Results Findings indicate an increase in the prevalence of sleep-onset difficulties and in excessive screen time exposure and a small but significant increase in physical activity levels. Additionally, adolescents exceeding 2-h daily screen time had 20% higher odds of reporting sleep-onset difficulties, while no association was found for physical activity. The strength of the association between screen time and sleep-onset difficulties increased over time, which may reflect a change in type of screen time use (e.g., the increased use of easy accessible screens such as smartphones and tablets). Conclusions Effective strategies to reduce screen time are key to reverse the detrimental trend in sleep-onset difficulties among adolescents.
Citation
Ghekiere , A , Van Cauwenberg , J , Vandendriessche , A , Inchley , J , Gaspar de Matos , M , Borraccino , A , Gobina , I , Tynjälä , J , Deforche , B & De Clercq , B 2019 , ' Trends in sleeping difficulties among European adolescents : are these associated with physical inactivity and excessive screen time? ' , International Journal of Public Health , vol. 64 , no. 4 , pp. 487–498 . https://doi.org/10.1007/s00038-018-1188-1
Publication
International Journal of Public Health
Status
Peer reviewed
DOI
https://doi.org/10.1007/s00038-018-1188-1
ISSN
1661-8556
Type
Journal article
Rights
© 2018, Swiss School of Public Health (SSPH+). This work has been made available online in accordance with the publisher's policies. This is the author created accepted version manuscript following peer review and as such may differ slightly from the final published version. The final published version of this work is available at https://doi.org/10.1007/s00038-018-1188-1
Description
The study was funded by the government of Flanders (Grant No. GEO-1GDD2A-WT) and the Research Foundation Flanders (Grant No. 12I1117N).
Collections
  • University of St Andrews Research
URI
http://hdl.handle.net/10023/19105

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